Individual
JESSICA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5610 KITSAP WAY STE 320, BREMERTON, WA 98312-2266
(360) 792-2020
Mailing address
3214 W MCGRAW ST, STE 212, SEATTLE, WA 98199-3239
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
05/12/2016
Last updated
03/06/2023
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